45D2135035 CLIA NUMBER - WALMART PHARMACY 10-2835

Laboratory Demographics

  • CLIA Code: 45D2135035
  • Facility Name: WALMART PHARMACY 10-2835
  • Facility Address: 9006 GUILBEAU ROAD
    SAN ANTONIO, TX
    ZIP 78250
  • Facility Phone: 210 536-3158
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE R. LOPEZ
  • NPI Number: 1508948076
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 45D2135035
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2835
Street 9006 GUILBEAU ROAD
City SAN ANTONIO
State TX
ZIP 78250
Phone 210 536-3158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Pharmacy
Lab Director MICHELLE R. LOPEZ

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This page was last updated on: 9/29/2025